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Lockout/Tagout/Try (LOTO) Procedure

Contributor: Safesite • Jurisdiction: OSHA

general industry

This checklist is for authorized employees only. **Edit this template according to your company's procedure.**

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Lockout/Tagout/Try (LOTO) Procedure

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AllSection 1 of 1 with 22 Questions

1. Are servicing and maintenance operations performed by employees on machines or equipment whose unexpected energization, startup or release of stored energy could harm employees?

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2. Have there been recent changes to your equipment/machinery or energy type/amount that may affect your LOTO procedure?

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3. If yes, have authorized, affected, and other employees been trained on the new equipment/machinery or procedures? (If no, stop procedure and pursue additional training.)

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4. Identify machine energy type, magnitude and its hazards to personnel.

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5. Hazardous energy types: Electrical, Pressure (Fluid, Pneumatic, Hydraulic), Gravity, Compressed Spring, etc.

6. Identify hazardous energy lockout points for each machine, determine proper lockout devices to be used.

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7. Inform affected employees of planned lockout.

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8. Determine who has primary responsibility if service/maintenance is group assignment. Write name in text box.

9. Shut down machine or equipment using normal procedure.

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10. Locate and isolate all energy sources; release any stored energy

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11. Attach Lock devices, locks and tags at each energy control point (all members attach own locks during group service/maintenance or use lock-box).

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12. Ensure locks are labeled with the names of all individuals working on the machine.

13. Verify absence of hazardous energy; TEST/TRY operating controls, then return to “off” position.

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14. Perform service/maintenance.

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15. If energizing to test or position equipment, follow lockout removal steps.

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16. Repeat lockout steps after test/positioning.

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17. Before re-energizing, remove tools and be sure employees are safely away from equipment.

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18. Ensure that machine or equipment components are operationally intact. Reinstall machine guards.

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19. Are all individuals with locks on the machine out/safe, with tools accounted for?

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20. Remove lockout devices and position valves, controls, etc. for startup.

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21. Turn on energy and notify affected employees that the lockout or tagout device(s) have been removed.

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22. Write Comments or Remarks here:

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